Genesis Medical Group Ii, Inc
Prosthetic/orthotic Supplier
10802 Se Washington St, Portland
Oregon, 97216-3118
503-231-1529 503-231-7805
Genesis Medical Group Ii, Inc is a Prosthetic/orthotic Supplier in Portland, Oregon. It is located at 10802 Se Washington St, Portland and it's customer support contact number is 503-231-1529. The authorized person of Genesis Medical Group Ii, Inc is Mr. Wyatt James Brown, C.PED. who is Director Of Operation of this DME and his contact number is 503-231-1529.
Genesis Medical Group Ii, Inc is an organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
DME Supplier Details:
Genesis Medical Group Ii, Inc type, location, contact phone number and fax are as below. Patients can directly walkin or can call on the below given customer support phone number for enquiries.
| Name: | Genesis Medical Group Ii, Inc |
| Type: | Prosthetic/orthotic Supplier |
| Location: | 10802 Se Washington St, Portland,
Oregon, 97216-3118 |
| Phone: | 503-231-1529 |
| Fax: | 503-231-7805 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints of this supplier is as below. Person's position and contact details are also mentioned below.
| Name: | Mr. Wyatt James Brown |
| Credentials: | C.PED. |
| Position: | Director Of Operation |
| Contact Number: | 503-231-1529 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details of given supplier are as mentioned below.
| NPI Number: | 1790712073 |
| NPI Enumeration Date: | 26 Jun, 2006 |
| NPI Last Update On: | 28 Jun, 2012 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Genesis Medical Group Ii, Inc are as mentioned below.
| Specialization | License Number | State | Status | |
| Prosthetic/orthotic Supplier | | | Primary | |
| Durable Medical Equipment & Medical Supplies | | | Secondary | |
Other Medical Identifiers:
Other legacy medical identifiers of this supplier such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 123617 | Medicaid | Oregon | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 10802 Se Washington St,
Portland, Oregon |
| Zip: | 97216-3118 |
| Phone Number: | 503-231-1529 |
| Fax Number: | 503-231-7805 |
Patients can reach Genesis Medical Group Ii, Inc at
10802 Se Washington St, Portland, Oregon or can
call on customer care at 503-231-1529.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 February, 2026.